O'Neill, Jacob M

O'Neill, Jacob M is an individual health care provider with primary practice located at 225 Crosslake Dr , Evansville IN 47715-8198. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. O'Neill, Jacob M can be contacted via phone (812) 477-1558.

Contact Information

Primary practice address
225 Crosslake Dr Evansville IN 47715-8198
Phone: (812) 477-1558
Fax: (812) 488-4669
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 30896 Kentucky
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 01048828A Indiana

Profile Details

NPI number 1104822279
LBN Legal business name O'Neill, Jacob M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Oct 30th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104822279 NPPES
Indiana MEDICAID 200830150

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